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Description The Community Engagement Strategy Lead is responsible for the vision, strategy, and execution of partnerships and programs to address social determinants of health (SDOH) and advance health equity for Medicaid ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Hospital Coding Auditor (IP/OP) - Remote Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Pensacola Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..